Preferred Label : Ceroid lipofuscinosis, neuronal, 1;
Symbol : CLN1;
CISMeF acronym : CLN1; INCL;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Ceroid lipofuscinosis, neuronal, 1, variable age at onset;
Included titles and symbols : Neuronal ceroid lipofuscinosis, infantile; Santavuori disease; Santavuori-haltia disease; INCL;
Description : The neuronal ceroid lipofuscinoses (NCL; CLN) are a clinically and genetically heterogeneous
group of neurodegenerative disorders characterized by the intracellular accumulation
of autofluorescent lipopigment storage material in different patterns ultrastructurally.
The lipopigment pattern seen most often in CLN1 is referred to as granular osmiophilic
deposits (GROD). The patterns most often observed in CLN2 and CLN3 are 'curvilinear'
and 'fingerprint' profiles, respectively. CLN4, CLN5, CLN6, CLN7, and CLN8 show mixed
combinations of granular, curvilinear, fingerprint, and rectilinear profiles. The
clinical course includes progressive dementia, seizures, and progressive visual failure
(Mole et al., 2005). Zeman and Dyken (1969) referred to these conditions as the 'neuronal
ceroid lipofuscinoses.' Goebel (1995) provided a comprehensive review of the NCLs
and noted that they are possibly the most common group of neurodegenerative diseases
in children. Mole et al. (2005) provided a detailed clinical and genetic review of
the neuronal ceroid lipofuscinoses. - Genetic Heterogeneity of Neuronal Ceroid Lipofuscinosis
See also CLN2 (204500), caused by mutation in the CLN2 gene (607998) on chromosome
11p15; CLN3 (204200), caused by mutation in the CLN3 gene (607042) on 16p12; CLN4A
(204300), caused by mutation in the CLN6 gene (602780) on 15q21; CLN4B (162350), caused
by mutation in the DNAJC5 gene (611203) on 20q13; CLN5 (256731), caused by mutation
in the CLN5 gene (608102) on 13q; CLN6 (601780), caused by mutation in the CLN6 gene
(602780) on 15q21; CLN7 (610951), caused by mutation in the MFSD8 gene (611124) on
4q28; CLN8 (600143) and the Northern epilepsy variant of CLN8 (610003), caused by
mutation in the CLN8 gene (607837) on 8pter; CLN10 (610127), caused by mutation in
the CTSD gene (116840) on 11p15; CLN11 (614706), caused by mutation in the GRN gene
(138945) on 17q; CLN12 (606693), caused by mutation in the ATP13A2 gene (610513) on
1p36; CLN13 (615362), caused by mutation in the CTSF gene (603539); and CLN14 (611726),
caused by mutation in the KCTD7 gene (611725) on 7q11. CLN9 (609055) has not been
molecularly characterized.;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the palmitoyl-protein thioesterase 1 gene (PPT1, 600722.0001);
Laboratory abnormalities : Granular osmiophilic cytoplasmic deposits (GROD) ultrastructurally in cells; Decreased activity of PPT1; Fatty acid pattern of serum lecithin shows increased arachidonic acid and decreased
linoleic acid;
Prefixed ID : #256730;
Origin ID : 256730;
UMLS CUI : C1850451;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)
Validated automatic mappings to NTBT